Background: Prognostication of survival in advanced cancer patients has been challenging and contributes to poor illness understanding.  Prognostic disagreement occurs even amongst providers and is a less studied phenomenon.  We introduced the Surprise Question (SQ), “Would I be surprised if this patient died in the next 1 year, 6 months, and 1 month?”, at multidisciplinary [...]

Case Presentation: 60 year old African American man with history of HTN, HLD, and mitral valve regurgitation presented to the ER complaining of 2.5 weeks of progressively worsening right eye pain and swelling. He originally saw his primary care physician, who prescribed him eye drops. However, the swelling got worse, so his PMD referred him [...]

Case Presentation: An 18 year-old Hispanic female presented to a tertiary care center with six days of left-sided flank pain and gross hematuria. Upon further questioning, she additionally endorsed  two to three months of generalized malaise and unprovoked weight loss totaling eight pounds. She had been discharged from a nearby hospital one day prior to [...]

Case Presentation: A 46-year-old male without significant past medical history presented with progressive dyspnea, syncope, and epigastric pain. An electrocardiogram displayed sinus tachycardia without signs of ischemia. A chest radiograph demonstrated a widened mediastinum. A subsequent transthoracic echocardiogram demonstrated pericardial effusion and tamponade. Patient had hypotension that was unresponsive to repeated intravenous fluid boluses, prompting [...]